The Florida Department of Health in Clay County needs your help. Please fill out this survey to share your opinions about healthcare and the quality of life in Clay County. Your feedback will help make Clay County a healthier place to live!

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* 1. What is your zip code at home?

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* 2. In what city or town is your home located?

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* 3. How do you rate your overall health? (check one selection)

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* 4. Choose up to 5 of the items below that you feel are the most important features of a healthy community:

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* 5. Choose up to 5 of the health problems or unhealthy behaviors that you feel are the most important in Clay County:

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* 6. What health care services are difficult to obtain in your community? (check all that apply)

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